Additional Urological Procedures

Prostate BiopsyWhen Prostate Specific Antigen (PSA) levels rise in men, one of the procedures commonly performed is a biopsy of the prostate. A biopsy involves taking pieces of the prostate so that they can be viewed under a microscope. Through this process, a doctor can determine if the tissue contains cancer or other abnormal cells.Doctors can perform prostate biopsies at Metropolitan Lithotriptor Associates in one of two ways. They can insert needles through the rectum or through the perineum (the area between the scrotum and the anus). Both of these methods utilize ultrasound to guide the needles. In addition, previous MR images may be utilized to help determine the targets for the needles. (i)

VasectomyPreventing the flow of sperm from the testicles to the penis is one way of eliminating the potential for the fertilization of eggs during intercourse. This method of birth control is called a vasectomy and can be performed as an outpatient procedure in Metropolitan Lithotriptor Associates facilities.For a conventional vasectomy, 1 or 2 small cuts are made in the skin of the scrotum to reach the vas deferens. The vas deferens is cut and a small piece may be removed, leaving a short gap between the 2 ends. Next, the urologist may sear the ends of the vas, and then tie the cut ends with a suture. These steps are then repeated on the other vas, either through the same cut or through a new one. (ii)

Hydrocele RemovalIn some men, fluid can accumulate in the scrotum causing swelling. These hydroceles are most often painless, but the swelling may cause some pain.They can also happen after injury.If there is no related inguinal hernia, hydroceles and any affected tissue can be removed through a cut in the scrotum. This minor surgery can be performed as an outpatient procedure in Metropolitan Lithotriptor Associates facilities (iii)

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